Individual
EBONY MANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
11800 MERRIMAN RD UNIT 510896, LIVONIA, MI 48151-2075
(248) 843-5525
Mailing address
11800 MERRIMAN RD UNIT 510896, LIVONIA, MI 48151-2075
(248) 843-5525
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6451024301
MI
Other
Enumeration date
06/12/2018
Last updated
02/05/2026
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